| Centrepointe Counseling, Inc. | |
|
17826 New Hampshire Ave Ashton MD 20861-9781 | |
| (800) 491-5369 | |
| (301) 774-3678 |
| Full Name | Centrepointe Counseling, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 17826 New Hampshire Ave, Ashton, Maryland |
| Authorized Official Name and Position | Matthew Raeder (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8004915369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centrepointe Counseling, Inc. Po Box 339 Ashton MD 20861-0339 Ph: (800) 491-5369 | Centrepointe Counseling, Inc. 17826 New Hampshire Ave Ashton MD 20861-9781 Ph: (800) 491-5369 |
| NPI Number | 1528014966 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 02/23/2022 |
| Certification Date | 02/23/2022 |
| Medicare PECOS PAC ID | 8628021664 |
|---|---|
| Medicare Enrollment ID | O20050302000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528014966 | NPI | - | NPPES |
| 414259400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Primary |
| Provider Name | Cheryl M Fischer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457595571 PECOS PAC ID: 8123177938 Enrollment ID: I20090528000196 |
| Provider Name | Sarah Lou Pickeral |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003189317 PECOS PAC ID: 7113187014 Enrollment ID: I20120330000377 |
| Provider Name | Brandy E Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962688382 PECOS PAC ID: 6608161864 Enrollment ID: I20160826001127 |
| Provider Name | Matthew Francis Raeder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578658357 PECOS PAC ID: 1658780952 Enrollment ID: I20210517000733 |
| Provider Name | Danice Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164178828 PECOS PAC ID: 4284006917 Enrollment ID: I20230207000773 |